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Diagnosis and Management of Barrett's Esophagus

Diagnosis
Screening
Surveillance Algorithm
Medical Treatment
Endoscopic Eradication Therapy (EET)

By Dr. Hima Veeramachaneni @hima_vee @EmoryGastroHep

#Barretts
Diagnosis and Management ... of Barrett's Esophagus ... #Barretts #Esophagus ... #Diagnosis #Management ... Treatment #Algorithm #Gastroenterology
Management of Jackhammer Esophagus or Esophageal Spasm
Step 1: Assess the severity of the motility disturbance
Step 2:
Management of Jackhammer ... Esophagus or Esophageal ... Consider further diagnostics ... #Jackhammer #Esophagus ... #gastroenterology
Acute Esophageal Necrosis
History: Hematemesis and/or melena (70%), Dysphagia, Epigastric/chest pain, Sepsis
Diagnosis EGD and Biopsy
Differential: Melanosis, Melanoma,
chest pain, Sepsis Diagnosis ... Klebsiella, pneumoniae) Management ... Necrosis #black #esophagus ... #diagnosis #management ... #gastroenterology
Lisfranc Joint Injuries - XRay Interpretation
The tarso metatarsal joint is named after a french surgeon. The
depends on several ligaments ... The lisfranc ligament ... an interosseous ligament ... checklist #foot #msk ... #diagnosis
Segond Fracture
- Avulsion fracture of the proximal tibia below the articular surface. 
- Associated with anterior
anterior cruciate ligament ... Segond #Fracture #Diagnosis ... KneeXRay #Clinical #MSK
Low Ankle Sprain: Pathomechanics and Clinical Findings

Grading Ligament Sprains
l: Minimal ligament disruption, mild swelling & tenderness,
Findings Grading Ligament ... Sprains l: Minimal ligament ... commonly injured ligament ... LowAnkleSprain #Sports #MSK ... Grading #Grades #Diagnosis
Dysphagia - Differential Diagnosis Algorithm

Oropharyngeal Dysphagia 
Esophageal Dysphagia 
 • Upper 2/3 (striated muscle): stroke, NMJ
- Differential Diagnosis ... disorders, ALS, MS ... Sjogren, web • Mid esophagus ... #Differential #Diagnosis ... Oropharyngeal #Esophageal #gastroenterology
Endoscopy in Barrett's Esophagus - Scoping Summary
- What we need to know?
   • Risk
Endoscopy in Barrett's Esophagus ... Endoscopy #Barretts #Esophagus ... #Summary #diagnosis ... #management #algorithm
Barrett's Esophagus (BE) Documentation 
1. 1st description as - ESEM (endoscopically suspected esophageal metaplasia), NOT as
Barrett's Esophagus ... (histological diagnosis ... BE - distal esophagus ... Documentation #EGD #diagnosis ... #gastroenterology
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
Inferior Glenohumeral Ligament ... inferior glenohumeral ligament ... Differential diagnosis ... clinical #Radiology #diagnosis ... #msk